Provider Demographics
NPI:1073707923
Name:MCALOON, CAROLYN ELIZABETH (DPM)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:ELIZABETH
Last Name:MCALOON
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:19845 LAKE CHABOT RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-4055
Mailing Address - Country:US
Mailing Address - Phone:510-581-1484
Mailing Address - Fax:510-581-7779
Practice Address - Street 1:19845 LAKE CHABOT RD
Practice Address - Street 2:SUITE 301
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4055
Practice Address - Country:US
Practice Address - Phone:510-581-1484
Practice Address - Fax:510-581-7779
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE4197213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E41970Medicaid
CAU75111OtherDPM
CAU75111OtherDPM
CA000E41970Medicaid